HCC-SNG AI Essentials

Participant Data

First name *

Last name *

Middle Name

Gender *

HCC student ID number (If you do not have an HCC student ID number, enter N/A)

Date of Birth *

MM/DD/YYYY

Email Address *

Phone Number *

Street address *

City *

State *

ZIP code *

Are you an F1 student? *

Ethnicity This data is required for state and federal statistical reporting purposes only. There are certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, students are invited to voluntarily self identify their race or ethnicity. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations. When reported, data will be aggregated and will not identify any specific individual. This information is required but in no way will be used to evaluate your application.

Are you Hispanic or Latino? *

If you are Hispanic or Latino, which of the following best describes your origin? If you are not Hispanic or Latino, please skip this question.

What is your race? Select one or more *

Citizenship status: Are you a U.S. Citizen? *

If you are not a U.S. citizen, what is your country of citizenship?

Military

Are you a disabled veteran?

Do you receive VA benefits?

Military affiliations (Select one or more)

Residency

Have you lived in the State of Texas for the last 12 months? *

If you have not lived in Texas for the past 12 months, what was your previous state of residence? (If you have lived in Texas for the past 12 months, please skip this question.)

In what school district do you currently reside? *

In what county do you currently reside? *

Enrollment

Choose your class *

Consent and Agreements The information I have provided is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, rules and regulations at any school to which I am admitted. I authorize the College to verify the information I have provided. I further understand that the information submitted herein will be relied upon by the officials of the College in determining my admission and residency status for tuition purposes and that the submission of false information is grounds for rejection of my application, withdrawal of acceptance, cancellation of enrollment, and/or disciplinary action.

Do you certify that you have read, understood, and agreed to the statement above? *

Houston City College considers name, address, telephone, date of birth, degrees earned and dates, major field of study, dates of attendance, enrollment status, student classification and name of most recent previous institution attended, number of hours complete and in progress, directory information. This is done in compliance with the Texas Open Records Law.

Date of Acknowledgement *

MM/DD/YYYY

If you do not want this information released, please check this box.

With few exceptions, state law gives you the right to request, receive and correct information about yourself collected on this form.

Registration fees

Registration to this event